26D2056322 CLIA NUMBER - WALGREENS #05228

Laboratory Demographics

  • CLIA Code: 26D2056322
  • Facility Name: WALGREENS #05228
  • Facility Address: 4400 LEMAY FERRY RD
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 487-0636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. ROBINSON
  • NPI Number: 1043226582
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056322
LAB Type Pharmacy
Facility Name WALGREENS #05228
Street 4400 LEMAY FERRY RD
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 487-0636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JENNIFER M. ROBINSON

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This page was last updated on: 9/29/2025